Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1023662160 |
---|---|
Provider Name | Adriana Navarro Gonzalez |
First Address | Northridge, CA 91325-4696 |
Second Address | Woodland Hills, CA 91364-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2019 |
Last Update Date | 26/07/2019 |